Internal Affairs Treatment Group

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05532900 Issued in NJ

Legal business name

INTERNAL AFFAIRS TREATMENT GROUP

Practice address

198 North Ave E
Cranford, NJ 07016-2469

Phone

(908) 422-5340

NPI assigned

Oct 7, 2016

Organization subpart

Yes

Parent organization

COBAR LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Ingram, LCSWNPI 1427488824

Title

Ceo/Executive Director

Phone

(908) 422-5340

Specialties & licenses 1

Addresses

Part of

Cobar LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cobar LLC

  • Clinical Social Worker
  • Roselle, NJ
  • NPI 1861827362
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Ingram, LCSW

  • Clinical Social Worker
  • Roselle, NJ
  • NPI 1427488824

  Clinical

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1376093880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 2ND AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031306",
            "telephone_number": "908-422-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162469",
            "telephone_number": "908-422-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL AFFAIRS TREATMENT GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COBAR LLC",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-422-5340",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05532900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Cranford, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.